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Test ID: FCLL
Chronic Lymphocytic Leukemia (CLL), FISH

List Fee Provides the Mayo Medical Laboratories list fee for performing the test

$578.70

The following test(s) may be added per the testing algorithm: 

$125.90 for #80024 One Additional FISH Probe

$106.10 for #80025 Two Additional FISH Probes

$110.30 for #87825 Three Additional FISH Probes

$138.00 for #80026 Four Additional FISH Probes

$165.50 for #87826 Five Additional FISH Probes

$193.10 for #87827 Six Additional FISH Probes

$220.70 for #87828 Seven Additional FISH Probes

$248.30 for #87829 Eight Additional FISH Probes

$275.80 for #87830 Nine Additional FISH Probes

$303.50 for #87831 Ten Additional FISH Probes

$331.00 for #87832 Eleven Additional FISH Probes

$358.60 for #87833 Twelve Additional FISH Probes

$386.20 for #89741 Thirteen Additional FISH Probes

$413.80 for #89714 Fourteen Additional FISH Probes

$441.30 for #89715 Fifteen Additional FISH Probes

$468.90 for #89716 Sixteen Additional FISH Probes

$496.50 for #89717 Seventeen Additional FISH Probes

$524.10 for #89718 Eighteen Additional FISH Probes

$551.60 for #89719 Nineteen Additional FISH Probes

$579.30 for #89720 Twenty Additional FISH Probes

Test Classification Provides information regarding the medical device classification for laboratory test kits and reagents. Tests may be classified as cleared or approved by the US Food and Drug Administration (FDA) and used per manufacturer's instructions, or as products that do not undergo full FDA review and approval, and are then labeled as an Analyte Specific Reagent (ASR), Investigation Use Only (IUO) product, or a Research Use Only (RUO) product.

This test was developed using an analyte specific reagent. Its performance characteristics were determined by Mayo Clinic in a manner consistent with CLIA requirements. This test has not been cleared or approved by the U.S. Food and Drug Administration.

NY State Approved Indicates the status of NY State approval and if the test is orderable for NY State clients.

Yes

CPT Code Information Provides guidance in determining the appropriate Current Procedural Terminology (CPT) code(s) information for each test or profile. The listed CPT codes reflect Mayo Medical Laboratories interpretation of CPT coding requirements. It is the responsibility of each laboratory to determine correct CPT codes to use for billing.

Chronic Lymphocytic Leukemia (CLL), FISH

88271 x 12-DNA probe, each

88275 x 4-Interphase in situ hybridization

88291/Interpretation and report

 

One Additional FISH Probe

88271-DNA probe, each (if appropriate)

88275-Interphase in situ hybridization (if appropriate)

 

Two Additional FISH Probes

88271 x 2-DNA probe, each (if appropriate)

88275-Interphase in situ hybridization (if appropriate)

 

Three Additional FISH Probes

88271 x 3-DNA probe, each (if appropriate)

88275-Interphase in situ hybridization (if appropriate)

 

Four Additional FISH Probes

88271 x 4-DNA probe, each (if appropriate)

88275 x 2-Interphase in situ hybridization (if appropriate)

 

Five Additional FISH Probes

88271 x 5-DNA probe, each (if appropriate)

88275 x 2-Interphase in situ hybridization (if appropriate)

 

Six Additional FISH Probes

88271 x 6-DNA probe, each (if appropriate)

88275 x 3-Interphase in situ hybridization (if appropriate)

 

Seven Additional FISH Probes

88271 x 7-DNA probe, each (if appropriate)

88275 x 3-Interphase in situ hybridization (if appropriate)

 

Eight Additional FISH Probes

88271 x 8-DNA probe, each (if appropriate)

88275 x 4-Interphase in situ hybridization (if appropriate)

 

Nine Additional FISH Probes

88271 x 9-DNA probe, each (if appropriate)

88275 x 4-Interphase in situ hybridization (if appropriate)

 

Ten Additional FISH Probes

88271 x 10-DNA probe, each (if appropriate)

88275 x 5-Interphase in situ hybridization (if appropriate)

 

Eleven Additional FISH Probes

88271 x 11-DNA probe, each (if appropriate)

88275 x 5-Interphase in situ hybridization (if appropriate)

 

Twelve Additional FISH Probes

88271 x 12-DNA probe, each (if appropriate)

88275 x 6-Interphase in situ hybridization (if appropriate)

 

Thirteen Additional FISH Probes

88271 x 13-DNA probe, each (if appropriate)

88275 x 6-Interphase in situ hybridization (if appropriate)

 

Fourteen Additional FISH Probes

88271 x 14-DNA probe, each (if appropriate)

88275 x 7-Interphase in situ hybridization (if appropriate)

 

Fifteen Additional FISH Probes

88271 x 15-DNA probe, each (if appropriate)

88275 x 7-Interphase in situ hybridization (if appropriate)

 

Sixteen Additional FISH Probes

88271 x 16-DNA probe, each (if appropriate)

88275 x 8-Interphase in situ hybridization (if appropriate)

 

Seventeen Additional FISH Probes

88271 x 17-DNA probe, each (if appropriate)

88275 x 8-Interphase in situ hybridization (if appropriate)

 

Eighteen Additional FISH Probes

88271 x 18-DNA probe, each (if appropriate)

88275 x 9-Interphase in situ hybridization (if appropriate)

 

Nineteen Additional FISH Probes

88271 x 19-DNA probe, each (if appropriate)

88275 x 9-Interphase in situ hybridization (if appropriate)

 

Twenty Additional FISH Probes

88271 x 20-DNA probe, each (if appropriate)

88275 x 10-Interphase in situ hybridization (if appropriate)